Gordon H Buck
Individual provider Active NPI Pharmacist · Falconer, NY
NPI 1346563905 · NPPES record last updated Mar 10, 2010
Key facts
- NPI
- 1346563905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 030100-1 (NY)
- Practice address
- 10 S Work St
Falconer, NY 14733-1329 - Phone
- (716) 665-2476
- Fax
- (716) 484-2737
- NPI assigned
- Mar 10, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030100-1 | NY | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 030100-1 | NY | Yes |
Addresses
Primary practice location
10 S Work St
Falconer, NY 14733-1329
Mailing address
10 S Work St
Falconer, NY 14733
Phone (716) 665-2476
Other providers in Falconer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.